Individual
JONATHAN EGGEBRECHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
3540 S 43RD ST, MILWAUKEE, WI 53220-1502
(414) 541-1000
(414) 328-2159
Mailing address
441 W BAYFIELD AVE, GLENDALE, WI 53217-3404
(414) 331-2045
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4746026
WI
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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